Evidence map›Paper›PMID 28273041›Full record

ArticleHealth promotion and chronic disease prevention in Canada : research, policy and practice2017

The burden of generalized anxiety disorder in Canada.

Louise Pelletier, Siobhan O'Donnell, Louise McRae, Jean Grenier

Open access · diamondAbstract readComparative Study
In one paragraph

Article in Health promotion and chronic disease prevention in Canada : research, policy and practice, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 38 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
38citing papers in PubMed, 2 pooled it
4.0field-weighted citation impact, top 6% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

38 citing papers in PubMed, 2 syntheses or guidelines pooled it, 75 citations in OpenAlex.

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  8. Polysubstance use and mental health among young adults.Canadian journal of public health = Revue canadienne de sante publique · 2025
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors at 2 institutions in 1 country.

Louise PelletierCentre for Chronic Disease Prevention, Public Health Agency of Canada, Ottawa, Ontario, Canada.
Siobhan O'DonnellCentre for Chronic Disease Prevention, Public Health Agency of Canada, Ottawa, Ontario, Canada.
Louise McRaeCentre for Chronic Disease Prevention, Public Health Agency of Canada, Ottawa, Ontario, Canada.
Jean GrenierInstitut de recherche de l'Hôpital Montfort (IRHM), C.T. Lamont Primary Health Care Research Centre, Ottawa, Ontario, Canada.
Public Health Agency of Canada · CAMontfort Hospital · CA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionAlthough generalized anxiety disorder (GAD) is common and disabling, there are few Canadian studies on this mental illness. We compared the characteristics, health status, health services use and health care needs of Canadians with GAD to those with depression.

methodsData are from the 2012 Canadian Community Health Survey-Mental Health, which surveyed a nationally representative sample of Canadians aged 15 years and older (n = 23 709; response rate of 68.9%). The respondents we studied had selfreported symptoms compatible with GAD and/or major depressive episode (MDE) in the preceding 12 months (n = 1598). Estimates were weighted to represent the Canadian household population. We performed descriptive and multinomial multivariate logistic regression analyses.

resultsIn 2012, an estimated 700 000 (2.5%) Canadians aged 15 years and older reported symptoms compatible with GAD in the previous 12 months. MDE symptoms co-occurred in 50% of these individuals. Those with GAD only reported fair/poor perceived health (29.7%), moderate to severe psychological distress (81.2%) and moderate to severe disability (28.1%) comparable to (or even slightly worse) than those with MDE only (24.7%, 78.8% and 24.8% respectively). Those with comorbid GAD and MDE demonstrated the worst health outcomes; 47.3% of them reported fair/poor perceived health, 94.0% reported moderate to severe psychological distress and 52.4% reported moderate to severe disability. Nearly 50% of those with comorbid GAD and MDE reported that their need for health care was not met or only partially met, compared to about 30% of those with GAD or MDE only.

conclusionWhile GAD is associated with levels of distress and disability comparable to (or slightly worse) than those affected by MDE only, the health status of those with comorbid disease is significantly worse than those with GAD or MDE only. Improved diagnosis, screening for comorbidity and management are essential to minimize the impacts of this mental illness.

Indexed as

Health StatusAdolescentAdultAnxiety DisordersCanadaComorbidityDisability EvaluationFemaleHealth SurveysHumansMajor Depressive DisorderMaleMental Health ServicesMiddle AgedSelf ReportStress, PsychologicalCanadadisabilitygeneralized anxiety disorderimpactmajor depressive episodeprevalence

Identifiers

PMID28273041
PMCPMC5607526
OpenAlexW2775673418

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.